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Page 3' <br /> WA Personnel: Be sure to Include copy of this form In <br /> WElSSASSC+CIATLF3 fob billing and field saWL mpling files <br /> 1054(1hluerstty AM$elle 301/9erkdey.G5 94784/41 56443281 Project I D ����-.-... - <br /> CHA I t 1 OFCUSTODY ftECOI'l� AND ANALYTIC I NSTRUCT I ONOTESNS NES TO LAB: <br /> 1)Specify analytic method and de- <br /> field Record Laboratory Record tectlon limit In report <br /> Z)Notify us if there aro any anom- <br /> Sarnpled by �` Laboratory Name C✓ '�+�� aloes peaks on GC or other scans. <br /> 3)Duplicates listed In parentheses. <br /> Sarnple/ 4)Questlonsklarlfieatlons-CALL 15. <br /> ..ac'^• Sample ID ContalInor Sampling Analy�re/ Analyze for: Analytic <br /> Types Date Hold Method/Detection Recelvad by Date Condition <br /> Limit <br /> c�fw —3 Py, 5 T r3 ti z— Te 9 127 i <br /> A - <br /> 4 <br /> 7a-,��— �S-��c — x <br /> X Received by a Personnel, Date <br /> R ased by Field Personnel, Date R sed by Courier, Date <br /> Telephone <br /> 1. Sample Type Codes: VVwater, S=soil, O=other(specify) <br /> Container Codes: V=VOA bottle, P=Plastic bottle, G=Glass bottle, T=brass tube, O=other(speclfy) <br /> {*Ilyte/Hold: A = Analyze, H = Hold--DO NOT ANALYZE UNLESS NECESSARY OR REQUESTED <br />